Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.05 / $160.05 / $160.05	Facility	26	$160.05	$160.05	$160.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $559.19 / $559.19	Professional		$290.51	$559.19	$559.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.54 / $160.05 / $160.05	Professional	26	$82.54	$160.05	$160.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $399.14 / $399.14	Professional	TC	$207.98	$399.14	$399.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $287.25 / $338.96	Professional		$209.69	$287.25	$338.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.29 / $83.96 / $99.07	Professional	26	$61.29	$83.96	$99.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.40 / $203.29 / $239.88	Professional	TC	$148.40	$203.29	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $361.52 / $771.38	Professional		$164.82	$361.52	$771.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.13 / $110.90 / $266.23	Professional	26	$78.13	$110.90	$266.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.08 / $264.38 / $505.13	Professional	TC	$173.08	$264.38	$505.13
United Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $311.87 / $438.12	Professional		$222.77	$311.87	$438.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.78 / $92.09 / $136.29	Professional	26	$65.78	$92.09	$136.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.80 / $213.44 / $328.63	Professional	TC	$152.80	$213.44	$328.63